Organization
CRAIG C THAYER & ANDREA C THAYER GEN PTRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG CHARLES THAYER (PARTNER)
(781) 729-3870
Entity
Organization
Contact information
Practice address
955 MAIN ST, SUITE 303, WINCHESTER, MA 01890-1961
(781) 729-3870
Mailing address
955 MAIN ST, SUITE 303, WINCHESTER, MA 01890-1961
(781) 729-3870
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1044
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y39127
BLUE CROSS BLUE SHIELD
MA
Enumeration date
04/17/2007
Last updated
02/21/2020
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